How much rates vary
Facilitymedian $15 · 10th to 90th $3 to $5,012Professionalmedian $3 · 10th to 90th $2 to $6
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $2.82 Median $2.82 Typical High $3.47 | Facility | None | $2.82 | $2.82 | $3.47 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $3.47 Typical High $3.47 | Professional | None | $2.82 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.41 Median $1.74 Typical High $1.74 | Professional | 52 · Reduced service | $1.41 | $1.74 | $1.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.71 Typical High $0.71 | Professional | 53 · Discontinued | $0.56 | $0.71 | $0.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.09 Median $2.63 Typical High $2.63 | Professional | 54 · Surgery only | $2.09 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.42 Median $0.52 Typical High $0.52 | Professional | 55 · Aftercare only | $0.42 | $0.52 | $0.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.35 Typical High $0.35 | Professional | 56 · Pre-op care only | $0.28 | $0.35 | $0.35 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $5.13 Median $5.75 Typical High $5.75 | Professional | None | $5.13 | $5.75 | $5.75 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | None | $2.34 | $2.34 | $2.34 |
Emblem Health Setting Professional Modifier None Typical Low $7.59 Median $8.32 Typical High $10.72 | Professional | None | $7.59 | $8.32 | $10.72 |
Geisinger Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | None | $5.75 | $5.75 | $5.75 |
Geisinger Setting Professional Modifier None Typical Low $3.47 Median $3.98 Typical High $6.76 | Professional | None | $3.47 | $3.98 | $6.76 |
Highmark BCBS Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Martin's Point Setting Facility Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Facility | None | $2.82 | $2.82 | $2.82 |
Martin's Point Setting Professional Modifier None Typical Low $2.82 Median $3.47 Typical High $3.47 | Professional | None | $2.82 | $3.47 | $3.47 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.41 Median $1.74 Typical High $1.74 | Professional | 52 · Reduced service | $1.41 | $1.74 | $1.74 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.71 Typical High $0.71 | Professional | 53 · Discontinued | $0.56 | $0.71 | $0.71 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $2.09 Median $2.63 Typical High $2.63 | Professional | 54 · Surgery only | $2.09 | $2.63 | $2.63 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.42 Median $0.52 Typical High $0.52 | Professional | 55 · Aftercare only | $0.42 | $0.52 | $0.52 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.35 Typical High $0.35 | Professional | 56 · Pre-op care only | $0.28 | $0.35 | $0.35 |
Oscar Health Setting Professional Modifier None Typical Low $5.75 Median $16.98 Typical High $16.98 | Professional | None | $5.75 | $16.98 | $16.98 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.31 Median $15.14 Typical High $26.30 | Facility | None | $3.31 | $15.14 | $26.30 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $5.37 | Professional | None | $3.31 | $3.31 | $5.37 |
United Setting Professional Modifier None Typical Low $2.40 Median $2.82 Typical High $3.89 | Professional | None | $2.40 | $2.82 | $3.89 |
Where Pennsylvania sits
The same service costs 3.0 times more in Rhode Island than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 29th of 51
$3.47
RI $6.76NY $2.29
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.